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Facets of negative affect prior to and following binge-only, purge-only, and binge/purge events in women with bulimia nervosa.
Open accessAbstract
Ecological momentary assessment (EMA) data suggest that global negative affect (NA) increases prior to and decreases following episodes of binge eating and purging, providing support for the affect regulation model of BN. The current study examined whether facets of NA are differentially related to bulimic behaviors. Women with bulimia nervosa (BN; n = 133) completed a 2-week EMA protocol. Momentary assessments of 4 facets of NA (Fear, Guilt, Hostility, and Sadness) were derived from the PANAS subscales. Trajectories of the NA facets were modeled prior to and following binge-only, purge-only, and binge/purge events. Fear, Guilt, Hostility, and Sadness increased prior to and decreased following binge-only and binge/purge events. The same results were found for purge-only events, with the exception that Hostility did not increase significantly prior to purging. Notably, ratings of Guilt were higher than those of Fear, Hostility, and Sadness at the time of binge-only and binge/purge events. Furthermore, post hoc analyses demonstrate that Guilt increased prior to and decreased following the 3 behavior types, even after controlling for Fear, Hostility, and Sadness. These results provide further support for the affect regulation model of BN and also suggest that guilt may be particularly important to the pathology of BN.
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Citations
Cites
Incidence, prevalence and mortality of anorexia nervosa and other eating disorders
Hoek, H. W. (2006) · Current Opinion in Psychiatry · doi:10.1097/01.yco.0000228759.95237.78 · Cited by 891
Haedt-Matt, A. A., & Keel, P. K. (2011) · Psychological Bulletin · doi:10.1037/a0023660 · Cited by 799
Cited by
Sex differences in the physiology of eating
Asarian, L., & Geary, N. (2013) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00446.2012 · Cited by 513
Lavender, J. M., Wonderlich, S. A., Engel, S. G., Gordon, K. H., Kaye, W. H., & Mitchell, J. E. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.05.010 · Cited by 512
“Some studies examining trajectories of momentary affect have reported a pattern in which negative affect increases prior to ED behaviors, and decreases after the behaviors (e.g., Berg et al., 2013; Smyth et al., 2007).”
BackgroundThe Science Behind the Academy for Eating Disorders' Nine Truths About Eating Disorders
Schaumberg, K., Welch, E., Breithaupt, L., Hübel, C., Baker, J. H., Munn‐Chernoff, M. A., Yilmaz, Z., Ehrlich, S., Mustelin, L., Ghaderi, A., et al. (2017) · European Eating Disorders Review · doi:10.1002/erv.2553 · Cited by 266
Reichenberger, J., Schnepper, R., Arend, A.-K., & Blechert, J. (2020) · Proceedings of the Nutrition Society · doi:10.1017/s0029665120007004 · Cited by 161
Review of Smartphone Applications for the Treatment of Eating Disorders
Juarascio, A. S., Manasse, S. M., Goldstein, S. P., Forman, E. M., & Butryn, M. L. (2015) · European Eating Disorders Review · doi:10.1002/erv.2327 · Cited by 143
“…episodes of disordered eating behaviors (e.g. restriction and/or binging and purging) can be triggered by numerous internal (e.g. negative affect, hedonic desire) (Berg et al., 2013; Smyth et al., 2007), and external (e.g. exposure to stimuli associated with the behavior) factors (Jansen, 1998).”
Metadata
- Authors
- Berg, K. C., Crosby, R. D., Cao, L., Peterson, C. B., Engel, S. G., Mitchell, J. E., & Wonderlich, S. A.
- Venue
- Journal of Abnormal Psychology
- Published
- 2013-02
- Volume
- 122
- Issue
- 1
- Pages
- 111-118
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- OpenAlex
- W2053295481
- Cited by
- 248
- References
- 2
- FWCI
- 13.87
- Type
- journal article
- Language
- en
- Open access
- green
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- Berg, K. C., Crosby, R. D., Cao, L., Peterson, C. B., Engel, S. G., Mitchell, J. E., & Wonderlich, S. A. (2013). Facets of negative affect prior to and following binge-only, purge-only, and binge/purge events in women with bulimia nervosa. Journal of Abnormal Psychology. https://doi.org/10.1037/a0029703
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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